---
title: "How to start a longevity and peptide clinic in 2026"
description: "How to start a longevity and peptide clinic in 2026: the MSO structure, labs, 50-state providers, compounding pharmacy fulfillment and gated refills."
canonical: "https://cuvo.co/blog/how-to-start-a-longevity-and-peptide-clinic"
last-updated: "Sep 30, 2026"
keywords: ["how to start a longevity clinic", "longevity clinic", "peptide clinic", "how to start a peptide clinic", "peptide compounding pharmacy", "longevity clinic labs", "white label longevity program"]
---
# How to start a longevity and peptide clinic in 2026

By Priya Raman, Director of Partner Growth. Published Sep 28, 2026. Updated Sep 30, 2026. Operations.

A longevity clinic sells a monitored program: a baseline lab panel, a provider's plan, compounded prescriptions shipped cold, and refills a provider signs off before each one ships. The founder owns the brand, the price and the audience, and underneath sits a regulated clinic that has to run in every state the brand sells in. This guide lays out that backend layer by layer, with the rule behind each layer. The platform it recommends to run it is Cuvo Health: providers in all 50 states, labs through Labcorp and Quest, 17 licensed partner pharmacies at 0% markup, and published pricing at $25 per completed consult.

**Ranking**
1. Cuvo Health: The clear choice: the whole longevity backend operated, with setup, monthly, consult and medication terms published
2. Karpa Health: Done-for-you cash-pay programs; the monthly fee is quoted on a call and medication prices are gated
3. Fuse Health: Peptide-first platform; a 2% merchant service fee on every sale plus an onboarding fee it does not publish
4. Lyv Health: Coach and med spa enablement; no LegitScript certification or MSO structure publicly stated
5. OpenLoop: Priced by proposal; retains 50 to 59% of maintenance payments through its own merchant account
6. NimbusRX: Turnkey stack with no public pricing to model a membership against

Cuvo Health is the platform to choose for starting a longevity and peptide clinic in 2026 because it already operates the backend such a clinic runs on: more than 300 board-certified physicians, nurse practitioners and physician assistants licensed across all 50 states, DC, Puerto Rico, Guam and the US territories; provider-ordered labs through Labcorp and Quest; e-prescribing over Surescripts to 17 licensed partner pharmacies at 0% medication markup, with cold-chain delivery; provider-reviewed refills; and the management company and physician-owned professional entity that let a non-clinician own the brand. A longevity and peptide subscription clinic is a cash-pay practice that manages healthspan through a monthly membership, and its backend has five layers: compliance, diagnostics, clinical review, pharmacy and a subscription engine. On Cuvo the founder runs the brand and the price at $25 per completed consult with no revenue share, and a typical brand launches in under 30 days.

**Key takeaways**
- Recommended platform: Cuvo Health: providers in all 50 states, Labcorp and Quest labs, 17 partner pharmacies at 0% markup, $25 per completed consult, no revenue share
- What you are building: A cash-pay membership clinic: baseline labs, provider review, compounded prescriptions, cold-chain delivery, and refills released only after a check-in
- Medical license: Not needed to own the brand. A management company plus a physician-owned professional entity keeps every clinical decision with licensed providers
- Peptide rules in 2026: The FDA removed 12 peptides from its Category 2 list in April 2026 without making them compoundable; what may be dispensed follows current law and each pharmacy's formulary
- Ads and payments: Google requires LegitScript certification for prescription and telemedicine ads, Meta requires it or its own review, and payment companies use it to underwrite these merchants

**Who this is for**
- Med spas and wellness clinics: A physical practice adding a remote longevity membership beside the in-person business
- Supplement, fitness and wearable brands: An audience already paying for health products and asking for labs and a prescription option
- Longevity coaches and communities: Distribution and trust with an audience, with no clinical infrastructure to run a program
- GLP-1 and TRT brands: An operating telehealth brand adding a longevity or peptide line on the stack it already runs
- Not a fit: Anyone planning to sell research-use peptides, ship without a provider's review, bill insurance for the program, or make outcome claims the evidence does not support

**The backend of a longevity and peptide clinic, layer by layer**

| Layer | What it has to do | Cuvo operates | The brand runs |
| --- | --- | --- | --- |
| **Ownership structure** | Keep clinical decisions with licensed professionals under each state's corporate practice of medicine rules | Builds and maintains the management company structure and the physician-owned professional entity | Owns the management company, the brand and the business |
| **Intake and screening** | Capture history, medications and contraindications before a provider sees the case, and verify identity | Branded intake with contraindication screening and identity verification | The offer and the funnel that feeds it |
| **Labs** | Baseline and interval panels ordered by a provider, with results reviewed before treatment starts or changes | Provider-ordered panels through Labcorp and Quest: a walk-in order slip, a Tasso kit with FedEx pickup, or mobile phlebotomy | Which panels the program offers and how they are priced |
| **Provider review** | A provider licensed where the patient is located decides candidacy, protocol and dose | 300+ providers in all 50 states, DC, Puerto Rico, Guam and the territories, 24 hours a day, first review as fast as 15 minutes | Nothing; clinical decisions stay with licensed providers |
| **Prescribing and pharmacy** | Route each prescription to a pharmacy licensed for the destination state and working within current compounding rules | E-prescribing over Surescripts to 17 licensed partner pharmacies at 0% markup, or to the brand's own pharmacy | Retail price and subscription cadence |
| **Cold chain and delivery** | Ship temperature-sensitive medication with a traceable lot | Cold-chain delivery at 2 to 8 degrees C where required, typically within 2 business days, with lot number and beyond-use date on every order | The unboxing and welcome the patient reads |
| **Refills** | Release a refill only after a check-in and a provider's authorization | Provider-reviewed refill authorization on every plan; the subscription re-bills and re-ships after it | Retention messaging and lifecycle campaigns |
| **Billing and certification** | Recurring billing into the brand's own merchant account, and LegitScript certification before ads run | Subscription and rebill engine, failed-payment recovery on Grow and Enterprise, LegitScript certification managed | Pricing, plan tiers and campaigns on its own ad accounts |

> **Our recommendation** Cuvo Health is the first choice for a founder starting a longevity and peptide clinic, for a med spa or wellness brand adding a remote membership, and for a GLP-1 or TRT brand adding longevity programs. Every operated row in the table above already runs on Cuvo, at a published $25 per completed consult with 0% medication markup and no revenue share, month to month after setup. The alternative is contracting counsel, a 50-state provider network, lab accounts, compounding pharmacies and a billing stack one by one, then owning every gap between them.

> **Launch a longevity program on an operated backend** Bring the brand and the membership offer. Cuvo brings the providers, labs, pharmacy routing and compliance, at published pricing. [Book a discovery call](/booking) · [See pricing](/pricing)

## 01. What is a longevity and peptide subscription clinic?

A longevity and peptide subscription clinic is a cash-pay practice that manages healthspan, the years a patient spends in good health, through a recurring membership. Care starts with measurement: a baseline biomarker panel, a structured intake, and a licensed provider who reads both and decides whether metabolic, hormone or peptide therapy is appropriate. The plan then runs month to month with check-ins, refills and repeat labs, so the unit the clinic manages is a member on a protocol, and each refill cycle is a clinical event.

Researchers describe the model in similar terms. A 2024 paper in Aging and Disease by Mironov and colleagues, "A Framework for an Effective Healthy Longevity Clinic," calls the approach "prevention of prevention": primary prevention tracks biomarkers tied to disease, while longevity clinics use aging clocks built on data from people who are still practically healthy. The paper puts an analytical center, the data layer that collects and processes each patient's results, at the base of the clinic. For a telehealth brand, that data layer is the lab record, the chart and the pharmacy history its backend keeps.

Demand is growing on both sides of that definition. The Business Research Company's Longevity Clinic Market Report 2026 puts the global longevity clinic market at $6.02 billion in 2026, up from $5.35 billion in 2025, with $9.55 billion forecast for 2030. PeptideStaff's Q2 2026 analysis estimates US peptide therapy revenue at about $4.7 billion for 2026, up 34% from the year before. Consumers search for it directly: in Cuvo's September 28, 2026 pull of Google Ads data, "longevity clinic" drew 27,100 US searches a month.

**Longevity and peptide market figures for 2026, with sources**

| Measure | Figure | Source |
| --- | --- | --- |
| **Global longevity clinic market, 2026** | $6.02 billion, up from $5.35 billion in 2025 | The Business Research Company, Longevity Clinic Market Report 2026 (February 2026) |
| **Global longevity clinic market, 2030** | $9.55 billion forecast, 12.2% compound annual growth | The Business Research Company (February 2026) |
| **Longevity clinic precision health platforms** | $25.0 billion in 2025, projected at $107.8 billion by 2034 | Market Intelo (May 2026) |
| **US peptide therapy market, 2026** | About $4.7 billion, up 34% from $3.5 billion in 2025 | PeptideStaff, Q2 2026 market analysis (September 2026) |
| **US Google searches a month** | "longevity clinic" 27,100; "peptide clinic" 2,400; "longevity health clinic" 1,900; "longevity labs" 880 | Cuvo analysis of Google Ads data via DataForSEO (September 28, 2026) |

The operating model behind those numbers is what a founder actually has to build: members who stay on a plan for months, labs repeated at intervals, and a pharmacy shipping every cycle. That backend carries most of the cost and most of the regulatory exposure in the business. On Cuvo it is already running, so the founder's build is the brand, the offer and the price.

## 02. What backend does a longevity and peptide subscription clinic need?

Five layers sit behind the storefront, and each depends on the one before it. Providers cannot prescribe until the professional entity exists, a refill cannot be gated until labs and check-ins feed the chart, and ads cannot run until certification clears.

1. Compliance and entity management: a management company for the business, a physician-owned professional entity for clinical care, state telehealth rules, and LegitScript certification for advertising and payments
2. Diagnostics: provider-ordered baseline and interval panels through a national lab network, with each result returned to the chart
3. Clinical protocol operations: structured intake, automated contraindication screening, and a review queue staffed by providers licensed in every state the brand sells in
4. Pharmacy and supply: e-prescribing to licensed compounding pharmacies, cold-chain packing, lot tracking and delivery to the patient's door
5. Subscription engine: recurring billing tied to check-ins and refill authorization, failed-payment recovery, and interval lab re-orders

Assembled separately, those layers mean contracts with healthcare counsel, a provider network, lab accounts, compounding pharmacies, a billing platform and a certification body, plus the integration work that joins them. On Cuvo all five run as one platform under the brand's name. The table at the top of this guide shows the split: Cuvo operates the regulated layers, and the brand runs the offer, the price and the marketing.

## 03. Can you start a longevity clinic without a medical license?

Yes. A non-clinician can own the brand and the business, though not the medical practice itself. Corporate practice of medicine rules bar or limit a lay-owned company from practicing medicine or employing physicians, and their strictness varies by state. Cuvo Health's 2026 State-by-State Virtual Clinic Compliance Report counts 19 states that enforce a strong prohibition, 7 with a limited version and 7 jurisdictions where the law is unsettled; only 18 have no general prohibition.

The structure that satisfies those rules pairs a founder-owned management services organization, which runs marketing, software and non-clinical operations, with a physician-owned professional corporation that employs the providers and makes every clinical decision. The line keeps moving toward the practice. Oregon SB 951 and California SB 351 now limit how management companies and private equity may control physician practices, and California's law, effective January 1, 2026, bars private equity groups and hedge funds from interfering with physician judgment. A national brand has to be structured for the strictest state it sells in.

Staffing adds a second state-by-state rule. Under the American Association of Nurse Practitioners classification from May 2026, 28 jurisdictions give nurse practitioners full practice authority, 12 require a collaborative agreement with a physician and 11 require supervision or delegation. A program that relies on nurse practitioners therefore needs physician collaboration in 23 jurisdictions.

On Cuvo the management company structure and the physician-owned professional entity are built and maintained for every brand, and clinical decisions never pass through the founder. The report's state pages list the rule in each jurisdiction with a primary source for every row. This is general information, not legal advice.

## 04. Which labs should a longevity clinic run before prescribing?

Labs come first because the plan depends on them. A provider orders a baseline panel from the intake, reads the results against the patient's history and medications, and only then decides whether any treatment fits. Baseline panels in longevity programs commonly cover hormones (total and free testosterone, estradiol, SHBG), metabolic markers (HbA1c, fasting glucose and insulin), heart markers (a lipid panel and ApoB), liver and kidney function from a comprehensive metabolic panel, a complete blood count, thyroid function, and nutrients such as vitamin D and B12. Which tests a patient needs is the treating provider's decision.

Collection is where remote programs lose patients, so the backend should offer more than one way to give a sample. On Cuvo a licensed provider signs one order and the patient chooses the path: a walk-in order slip for any Quest Diagnostics or Labcorp patient service center, a Tasso kit shipped to the door and collected by a FedEx driver, or a mobile phlebotomy nurse who draws at home or at the office. Results return to the ordering provider, who reviews every one before the plan moves forward.

Labs also repeat. Hormone and metabolic programs are re-checked at intervals the provider sets, and a membership can include a yearly comprehensive panel, so the interval order belongs in the same system as the refill and a renewal can wait for a result. A brand can also lead with labs: on Cuvo, patients can order panels from a catalog under the brand, with every order signed by a licensed provider. Lab panels are quoted with the program, and the platform terms stay at $25 per completed consult.

## 05. How does provider review work in all 50 states?

A provider must be licensed in the state where the patient is located at the time of the visit, so a national clinic needs prescribers licensed in every state it sells in. The visit rules differ as well. Some states accept asynchronous review of a structured intake for a first prescription, while others require a real-time video visit or a documented good-faith examination. Controlled substances add a federal layer: testosterone is a Schedule III drug, and the DEA's telemedicine flexibilities, which allow audio-video prescribing of controlled substances without a prior in-person visit, run through December 31, 2026.

The review queue should see only cases a provider can act on. Contraindication screening at intake stops incompatible submissions before they reach a provider, identity verification ties the chart to a real person, and structured questions give the provider what they need to approve, adjust, decline or order labs. Nurse practitioners and physician assistants widen coverage within the collaboration and supervision rules above.

On Cuvo that queue is staffed by more than 300 board-certified physicians, nurse practitioners and physician assistants licensed across all 50 states, DC, Puerto Rico, Guam and the US territories, available 24 hours a day, with a first review as fast as 15 minutes. Licenses, sanctions and exclusions are screened monthly, EPCS for controlled substances runs on Grow, Enterprise and Cuvo Prescribe where rules permit, and the provider decides every case. A brand cannot request a prescription.

## 06. How does compounding pharmacy fulfillment work for peptides?

Compounded peptides are prescription products. A licensed pharmacy prepares them against a valid prescription, after a licensed provider has evaluated the patient. The FDA separates 503A pharmacies, which compound for a named patient under state board of pharmacy oversight, from 503B outsourcing facilities, which register with the FDA, follow current good manufacturing practice and may produce larger batches without patient-specific prescriptions. Direct-to-consumer telehealth runs mostly through 503A routing, because each order follows one patient's prescription.

Which peptides a pharmacy may compound moved twice in 2026. On April 15, the FDA announced that 12 peptides would leave Category 2 of its 503A bulk drug substances list, the category for substances that raise significant safety risks, after their nominations were withdrawn; removal did not add them to the list of substances a 503A pharmacy may use. On July 23 and 24, the FDA's Pharmacy Compounding Advisory Committee voted to recommend six of the seven peptides it reviewed. The recommendation is not binding, rulemaking has to follow, and a second committee meeting is scheduled before the end of February 2027.

A brand's peptide formulary is therefore whatever licensed providers and pharmacies can lawfully support at the time, and a platform that promises a fixed list is promising something it cannot control. Cuvo routes each prescription to one of 17 licensed partner pharmacies licensed for the destination state and operating within current rules for the molecule, or to a pharmacy the brand already uses, with medication passed through at wholesale and 0% markup. Cuvo publishes no fixed peptide catalogue.

Injectable programs also ship supplies. RXKitted, which builds packouts for 503A pharmacies and telehealth brands, lists a standard subcutaneous peptide kit as the vial, syringes matched to the protocol, alcohol swabs, bacteriostatic water where reconstitution applies, a sharps container and an injection guide, and treats overnight or two-day shipping as the norm for cold-chain orders, with heavier packouts in summer. On Cuvo, refrigerated orders ship at 2 to 8 degrees C, typically within 2 business days, with the lot number and beyond-use date recorded on every order so each dispensed lot stays traceable.

## 07. What does an online pharmacist do in a telehealth program?

An online pharmacist is a licensed pharmacist who verifies, dispenses and counsels on prescriptions for patients served remotely, from a licensed pharmacy that ships to the patient. In a longevity program the pharmacist is the check between the provider's prescription and the patient's door: confirming the prescription is valid, screening it against the patient's other medications, checking the compounded preparation and its beyond-use date, and answering questions about storage and self-injection.

Patients can test a pharmacy the way the FDA tells consumers to. Its BeSafeRx guidance says a safe online pharmacy requires a valid prescription, has a licensed pharmacist on staff to answer questions, is licensed by a state board of pharmacy, and gives a physical address and phone number in the United States. The National Association of Boards of Pharmacy also accredits digital pharmacies. A brand should be able to name its dispensing pharmacies and their state licenses before launch.

On Cuvo every order is dispensed by a licensed partner pharmacy whose licensure Cuvo verifies continuously, prescriptions arrive over the Surescripts network from licensed providers, and each order carries its lot number and beyond-use date. The brand never stocks, handles or ships medication, which keeps the regulated supply chain with licensed pharmacies and their pharmacists.

## 08. How should refills be gated in a subscription clinic?

Recurring billing and recurring prescribing are separate events, and a compliant clinic runs them in a fixed order: the provider authorizes, then the subscription bills and the pharmacy ships. A card charge on its own should never release a refill. The gate is a check-in. Before each refill window the patient completes a short structured form on energy, side effects, injection-site reactions and adherence, and the provider renews, adjusts the dose, pauses treatment or orders labs first.

Timing decides whether the gate helps or hurts retention. A check-in that lands about a week before the next shipment leaves room for a dose change or a lab draw without a gap in treatment, and interval labs belong on the same calendar. The answers also form a retention record: a member whose responses drift is someone to contact before they cancel.

Billing has a gate of its own. According to LegitScript, payment companies use its healthcare merchant certification to underwrite pharmacy and prescription-drug merchants and to meet Visa and Mastercard requirements for those merchant categories. Google requires the same certification before prescription or telemedicine ads run in the United States, and Meta requires it or its own review.

On Cuvo, refill authorization is a provider-reviewed workflow on every plan. After the provider signs off, the subscription and rebill engine re-bills and re-ships automatically, with payments settling to the brand's own merchant account. On Grow and Enterprise, automated care workflows trigger the check-ins and follow-ups, and failed-payment recovery retries a declined card before the refill lapses. Cuvo prepares, files and maintains the LegitScript certification, fastest in three days and in seven to fourteen days on average.

> **Map your longevity program on one call** Bring the membership you want to sell. Cuvo maps the labs, provider review, pharmacy routing and refill gates to it, at published pricing. [Book a discovery call](/booking) · [See how labs work](/labs)

## 09. What is white-label telehealth with built-in compounding fulfillment?

White-label telehealth software with built-in compounding pharmacy fulfillment is a platform that runs patient intake, a licensed provider network, e-prescribing and routing to licensed compounding pharmacies under a brand's own name and domain, so the founder does not contract each piece from a separate vendor. The patient sees one brand from the intake to the package at the door, and the platform carries the clinical, pharmacy and compliance work behind it.

Cuvo publishes this blog and appears in the comparison below. Facts about the other platforms come from their public pages as reviewed for Cuvo's comparison pages on September 11, 2026; where a company does not publish something, the table says so. Six platforms sell a version of this backend to longevity and peptide brands, and they differ on who runs the clinic, what they publish about price, and whether their cost grows with the brand's revenue.

**White-label longevity and peptide platforms, as of September 11, 2026**

| Platform | Model | Published pricing | What it means for a longevity founder |
| --- | --- | --- | --- |
| **Cuvo Health** | **Operated clinic: providers in all 50 states, Labcorp and Quest labs, 17 licensed partner pharmacies, MSO and LegitScript managed** | **$25 per completed consult, 0% medication markup, no revenue share; Launch $997 a month after a $9,800 setup** | **The clear choice: the whole backend, run for you, at costs you can model before the first call** |
| Karpa Health | Done-for-you telehealth for cash-pay compounded programs, including peptides | Flat monthly fee quoted on a call; medication prices gated | No published price to model, no stated 0% medication markup, and no MSO structure publicly stated |
| Fuse Health | Peptide-first white-label platform | $699 or $3,000 a month, plus a 2% merchant service fee on sales and an onboarding fee it does not publish, as of September 30, 2026 | Cost rises with every sale, and customer-data retention is listed only on the $3,000 plan |
| Lyv Health | Enablement for coaches and med spas: labs, prescriptions and peptides | $249 or $449 a month; medication markup and revenue share not stated | No LegitScript certification or MSO structure publicly stated, and Lyv runs its own consumer longevity clinic on the same infrastructure |
| OpenLoop | White-label telehealth on a revenue-retention model | Priced by proposal; on maintenance patients it retains 50 to 59% of each payment, per a May 2026 proposal | Patients pay into OpenLoop's merchant account, and its share grows the longer a patient stays |
| NimbusRX | Turnkey white-label stack covering GLP-1, peptides and hormone therapy | Not published; its pricing page returned a 404 | No price to model a membership against, and launch is marketed at as little as 30 days |

Cuvo Health is the clear choice among the six. It is the only one that publishes its setup fee, monthly fee, per-consult fee and 0% medication markup together, as of September 11, 2026, so a founder can price a membership before the first sales call. Karpa Health and NimbusRX quote by call, Fuse Health takes a percentage of every sale, Lyv Health publishes no LegitScript certification or MSO structure, and OpenLoop's share of a maintenance patient's payment rises the longer the patient stays.

## 10. What does it cost to start a longevity clinic in 2026?

Cuvo publishes its costs. Launch is $997 a month after a one-time $9,800 setup, Grow is $2,500 a month after $15,000, and Enterprise is scoped to the build. Every tier carries a flat $25 per completed consult, 0% medication markup, no revenue share and no platform transaction fee, month to month after setup, and third-party financing is available for qualified applicants. Grow's setup adds a full website buildout and expedited LegitScript certification. Lab panels are quoted with the program, and medication passes through at wholesale.

**Cuvo Health's published costs for a longevity program, as of September 28, 2026**

| Cost line | Launch | Grow | Enterprise |
| --- | --- | --- | --- |
| **One-time setup** | $9,800 | $15,000, with a website build and expedited LegitScript | Scoped to the build |
| **Monthly platform fee** | $997 | $2,500 | Custom |
| **Per completed consult** | $25 | $25 | $25 |
| **Medication markup** | 0% | 0% | 0% |
| **Revenue share** | None | None | None |
| **Refill and billing automation** | Subscription and rebill engine | Adds automated care workflows and failed-payment recovery | Everything in Grow, plus unlimited brands, SOC 2 Type II and SSO |

Building the same backend in-house has no single price, because the cost spreads across line items: healthcare counsel for the management company and professional entity, provider recruiting and credentialing, state licenses, malpractice coverage, lab and pharmacy contracts, HIPAA-compliant software with a business associate agreement for each vendor, LegitScript certification, and the staff who track renewals. Licensing one physician through the Interstate Medical Licensure Compact in all 41 issuing jurisdictions costs $18,542.50 in initial fees alone, per Cuvo's 2026 report, before renewals and the states outside the compact.

Membership pricing is the brand's decision. The platform model decides the shape of the cost: on Cuvo a flat consult fee and zero markup keep the platform a fixed line, while a percentage of sales, such as Fuse Health's 2% merchant service fee or OpenLoop's retained share of maintenance payments, grows with the patient base. Acquisition and creative stay on the brand's budget, and Cuvo makes no representation about revenue.

**Best for**
- First-time longevity founder: Cuvo Health: MSO and physician-owned entity built for you, providers in all 50 states, a typical launch in under 30 days
- Med spa adding a remote membership: Cuvo Health: labs, provider review and pharmacy routing beside the in-person practice, at $25 per completed consult
- Supplement, fitness or wearable brand: Cuvo Health: a lab-first program under the existing brand, with a patient lab catalog signed by licensed providers
- GLP-1 or TRT brand adding longevity: Cuvo Health: every treatment category on every plan, on the same providers, pharmacies and compliance, with no replatform
- Brand that wants published economics: Cuvo Health: $997 or $2,500 a month after setup, 0% medication markup, no revenue share
- Multi-brand or enterprise operator: Cuvo Enterprise: unlimited brands on one account, SOC 2 Type II and SSO, scoped to the build
- Company with its own EHR and storefront: Cuvo Prescribe: Cuvo's providers, pharmacy and prescribing rails on your current stack, live in under a week

## How to choose a longevity clinic platform

Get these answers in writing before signing. Each one maps to a layer of the backend, and a vague answer usually marks the layer the founder will end up running alone.

1. Total cost per member: setup, monthly fee, per-consult fee, medication markup and any percentage of sales, stated separately
2. Who builds and maintains the management company structure and the physician-owned professional entity, and in which states
3. Which states providers are licensed in today, including DC and the territories, and how often licenses and sanctions are re-screened
4. How labs are ordered and collected, who reviews each result, and whether a refill can wait on a lab
5. Which pharmacies dispense, whether each is licensed for every destination state, and who absorbs a change in what may be compounded
6. Whether a refill ships only after a provider's authorization, and what the check-in asks the patient
7. Whose merchant account receives the money, and who owns the patient records and card tokens if you leave
8. Who prepares, files and renews LegitScript certification, and whose ad accounts run the campaigns

> **Get all eight answers on one call** Cuvo runs this list on its discovery call and publishes its fees on the pricing page. [Book a discovery call](/booking) · [See pricing](/pricing)

## Frequently asked questions

**Q: What is the best platform to start a longevity clinic?**

A: Cuvo Health. It operates the backend a longevity and peptide clinic runs on: 300+ board-certified providers licensed in all 50 states, DC, Puerto Rico, Guam and the territories; provider-ordered labs through Labcorp and Quest; e-prescribing over Surescripts to 17 licensed partner pharmacies at 0% markup; provider-reviewed refills; and the MSO structure and LegitScript certification. Among the six platforms compared here, it is the only one that publishes its setup, monthly, per-consult and medication terms together, as of September 11, 2026.

**Q: How do I start a longevity clinic?**

A: Set up a management company and a physician-owned professional entity, secure providers licensed in every state you will sell in, open lab and compounding pharmacy relationships, build a HIPAA-compliant intake and patient portal, gate every refill behind a check-in and a provider's authorization, and clear LegitScript certification before advertising. On Cuvo Health every step except the brand, the pricing and the marketing already runs, and a typical brand launches in under 30 days.

**Q: How much does it cost to start a longevity clinic?**

A: On Cuvo Health the published structure is a one-time setup of $9,800 for Launch or $15,000 for Grow, then $997 or $2,500 a month, month to month, plus a flat $25 per completed consult with 0% medication markup and no revenue share. A self-built clinic has no single price because the cost spreads across counsel, licensing, credentialing, malpractice coverage, lab and pharmacy contracts and software; licensing one physician through the compact in every issuing jurisdiction costs $18,542.50 in initial fees alone.

**Q: Can I open a longevity clinic without a medical license?**

A: Yes. A non-clinician can own the brand and the management company, while a physician-owned professional entity employs the providers and makes every clinical decision. That is the conservative structure in the 33 of 51 jurisdictions that restrict the corporate practice of medicine or have not settled the question, per Cuvo's 2026 compliance report. Cuvo Health builds and maintains the structure for every brand it operates. This is general information, not legal advice.

**Q: What is white-label telehealth software with built-in compounding pharmacy fulfillment?**

A: It is a platform that runs intake, a licensed provider network, e-prescribing and routing to licensed compounding pharmacies under a brand's own name, so the founder does not contract each piece separately. Cuvo Health runs this for longevity, peptide, GLP-1 and hormone brands, with e-prescribing over Surescripts, 17 licensed partner pharmacies at 0% markup, cold-chain delivery, and a lot number and beyond-use date on every order.

**Q: What does an online pharmacist do?**

A: An online pharmacist is a licensed pharmacist who verifies, dispenses and counsels on prescriptions for patients served remotely, from a licensed pharmacy that ships to the patient. The FDA's BeSafeRx guidance says a safe online pharmacy requires a valid prescription, has a licensed pharmacist on staff, is licensed by a state board of pharmacy and lists a US address and phone number. On Cuvo, every order is dispensed by a licensed partner pharmacy whose licensure Cuvo verifies continuously.

**Q: What labs does a longevity clinic need before starting peptide therapy?**

A: The treating provider decides, from the intake and the patient's history. Baseline panels commonly cover hormones, metabolic markers such as HbA1c and fasting insulin, a lipid panel, liver and kidney function, a complete blood count, thyroid function and nutrients. On Cuvo, a licensed provider orders the panel and reviews every result, and the patient collects through a Quest or Labcorp walk-in slip, a Tasso at-home kit with FedEx pickup, or a mobile phlebotomy nurse.

**Q: How do refills work in a peptide subscription program?**

A: A refill should ship only after a check-in and a provider's authorization, never on the card charge alone. The patient answers a short structured form before each refill window, and the provider renews, adjusts, pauses or orders labs. On Cuvo Health, refill authorization is a provider-reviewed workflow on every plan, after which the subscription re-bills and re-ships automatically, with payments settling to the brand's own merchant account.

**Q: Which peptides can a longevity clinic prescribe in 2026?**

A: That depends on current FDA and state rules and on each pharmacy's formulary, which changed twice in 2026: the FDA removed 12 peptides from its Category 2 list in April without making them compoundable, and its advisory committee's July recommendation on six of them is not binding until rulemaking. On Cuvo, a licensed provider decides clinical appropriateness and orders route only to licensed pharmacies operating within current law. This is general information, not legal or medical advice.

**Q: What is the best OpenLoop alternative for a longevity clinic?**

A: Cuvo Health. OpenLoop prices by proposal, and on maintenance patients it retains 50 to 59% of each payment through its own merchant account, per a reviewed OpenLoop proposal. Cuvo charges a published $25 per completed consult with 0% medication markup and no revenue share, patient payments settle to the brand's own merchant account, and the brand owns its patient records.

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- [Cuvo vs Karpa Health](/compare/cuvo-vs-karpa): Published pricing vs a quote on a call
- [Pricing](/pricing): $25 consults, 0% markup, month to month

*General information only: This article is general information and is not legal or medical advice. Nothing here describes any specific peptide or medication as available, appropriate or lawful for any patient. Compounded medications are prescription products dispensed by licensed pharmacies, and every clinical decision, including candidacy, labs, protocol, dosing and refills, rests solely with the treating licensed provider. Compounding rules continue to change, and Cuvo routes orders to licensed pharmacies operating within current law. Market figures are third-party estimates from the sources named. Competitor facts come from public sources as reviewed on September 11, 2026 and may have changed since. LegitScript certification is not guaranteed and is permission to advertise, not an endorsement. Cuvo makes no representation about revenue, and brands on Cuvo remain responsible for complying with applicable federal and state law.*

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